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Exam Invigilation Request

All the fields marked with (*) must be filled before your submission can be processed. Incomplete submissions will not be processed.

The student and parent/guardian (if the student is under 19 years of age) must complete this form.

Student Details

Surname*:
 
First Name(s)*:
 
Student ID*:
Enter your ADL Student ID, same as Enrolment Application Number or
ADL School ID. If you don't have one, click here to register.
Date of Birth*:
Click on the Calendar icon to select a date or
enter date in format dd-mon-yyyy, as 31-Dec-1990
Course(s)*:
 
Address*:
 
City*:
 
Province/State*:
 
Country*:
 
Postal/Zip Code*:
For example, V3V6Y6 OR 123456
Phone #*:
Phone Number Format Country Code-Area Code-Number
Fax # :
Fax Number Format Country Code-Area Code-Number
E-mail*:
For example: john@adlschool.com

Invigilator's Details

Title*:
For example, Mr./Ms./Mrs./Dr./Er./etc.
Surname*:
 
First Name(s)*:
 
Home Phone # :
Phone Number Format Country Code-Area Code-Number
Cell # :
Cell Number Format Country Code-Area Code-Number
Home Fax # :
Fax Number Format Country Code-Area Code-Number
Occupation*:
 
Business Name*:
 
Work Address*:
 
City*:
 
Province/State*:
 
Country*:
 
Postal/Zip Code*:
For example, V3V6Y6 OR 123456
Work Phone #*:
Phone Number Format Country Code-Area Code-Number
Work Fax # :
Fax Number Format Country Code-Area Code-Number
E-mail*:
For example: john@adlschool.com
Website (if any) :
 

Agreement

  • To abide by the directions provided by the subject teacher
  • To be personally responsible for checking the character of the above invigilator
  • That Advanced Distributed Learning School’s approval of the above invigilator does not constitute approval of invigilators character
  • That above invigilator will directly contact the teacher to obtain invigilation directions
  • To give my teacher at least one week notice in requesting invigilation information
  • That all exams are “closed book”, unless explicitly indicated by the teacher